Review Note

Last Update: 01/11/2024 07:06 PM

Current Deck: PCP::PARA1200::Module 9

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DimenhyDRINATE: Dosing/MOA/Pharmacokinetics/other notes
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Adult dosing: 
  • 25-50 mg IV/IM
  • 12.5 mg IV/IM in elderly or frail patients
  • May repeat dose once after 4-6 hours if required
  • Give IM dose as direct injection; IV dose should be diluted with saline; administer medication at rate of 25 mg/min

Pediatric dosing: 
  • 1.25 mg/kg IV/IM; maximum single dose of 25 mg
  • May repeat dose once after 4-6 hours if required
  • Maximum total daily dose 5 mg/kg/day
  • Note: not authorized for patients < 12 years of age by PCP
MOA: Inhibits cholinergic vestibular and reticular stimulation from motion. H1 receptor antagonist

Pharmacokinetics: 
  • Onset: 20-30 minutes (IM); almost immediate (IV)
  • Peak: Unknown
  • Duration: 3-6 hours (IM/IV)
Other notes: DimenhyDRINATE may potentiate the effects of alcohol, benzodiazepines, or other CNS depressants.  Drugs with anticholinergic properties, including tricyclic antidepressants, monoamine oxidase inhibitors, or other antihistamines, may also act synergistically. 

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